Results 1 to 2 of 2

Screening Vs Consulting in Hospital Setting

  1. Default Screening Vs Consulting in Hospital Setting
    Medical Coding Books
    In my hospital, our anesthesia department provides screening/clearance for patient's scheduled for surgery. EVERY patient scheduled for surgery at our hospital in seen by a NP (working under anesthesia dept). We obviously do not bill these screenings but the decline in cancellation rates of surgeries has been our primary goal of this program.

    Now my question -there are times when the patient's ailments, such as cardiac issues, previous problems with anesthesia, etc cause concern and would necessitate a consult with an anesthesia MD to give an opinion of whether the patient is healthy enough to withstand the surgery under anesthesia.

    With the proper criteria, the 3 R's of a consult, there should be no reason why our Anesthesia MD couldn't bill for a consult in those cases. Am I right? Any input would be appreciated.

  2. #2
    Milwaukee WI
    Default If the documentation supports
    Yes, you are right. If this is not a routine screening, but an actual request for a consultation and the documentation support that service, you should be able to code the consult.

    F Tessa Bartels, CPC, CEMC

Similar Threads

  1. Cpc in hospital setting?
    By aeubank in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 03-19-2015, 12:55 PM
  2. Incident to in hospital setting
    By rnewsome in forum Medicare Regulations
    Replies: 3
    Last Post: 05-06-2014, 01:07 PM
  3. Nebulizers in Inpatient Hospital setting
    By pammalou in forum Medical Coding General Discussion
    Replies: 1
    Last Post: 01-13-2014, 08:18 AM
  4. New vs established in hospital setting
    By tuck1999 in forum Medical Coding General Discussion
    Replies: 3
    Last Post: 06-09-2010, 12:24 PM
  5. Replies: 0
    Last Post: 05-07-2009, 09:40 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.